Marco Tulio Mahecha-Toro , Víctor Alejandro Vargas-Martínez , Gabriel Ochoa-Del-Portillo , Jerson Alfonso Hernández-Vargas , Gustavo Andrés Zamora-Vásquez , Claudia Castellanos-Peñaranda
{"title":"儿童医院新生儿髋关节脱位的危险因素","authors":"Marco Tulio Mahecha-Toro , Víctor Alejandro Vargas-Martínez , Gabriel Ochoa-Del-Portillo , Jerson Alfonso Hernández-Vargas , Gustavo Andrés Zamora-Vásquez , Claudia Castellanos-Peñaranda","doi":"10.1016/j.rccot.2022.04.012","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Developmental Dysplasia of the Hip (DDH) has significant repercussions on health if it is not diagnosed and treated in a timely manner. The purpose of this research is to describe the risk factors and prevalence for DDH in children born between 01/01/2016 and 12/31/2019 in a Children's Hospital in Bogotá, Colombia.</p></div><div><h3>Materials and methods</h3><p>Descriptive cross-sectional study. The Developmental Hip Dislocation (DHD) was clinically evaluated through Ortolani, Barlow and Galeazzi's signs, exploring the possible association with family history in the first and second degree of consanguinity. 2<!--> <!-->×<!--> <!-->2 contingency tables were created and the <em>X</em><sup>2</sup> test or Fisher's exact test was applied, considering a statistical significance of (<em>p</em> <!--><<!--> <!-->0.05). The information was taken from the DHD screening program database. The descriptive analysis was performed with Stata15 and SPSS20.</p></div><div><h3>Results</h3><p>3193 neonates meet the inclusion criteria. 49.5% are female. 7.1% had a family history of DHD in the first degree of consanguinity, 5% in the second degree of consanguinity, and 9.1% had a breech presentation. Clinical evaluation for the detection of DHD was positive in 0.41% (<em>n</em> <!-->=<!--> <!-->13). A prevalence of 2.2× every 1000 live births was documented.</p></div><div><h3>Conclusions</h3><p>No association between sex and history of first degree of consanguinity was documented, but and an association with second degree history was founded. The estimated prevalence in a single hospital highlights the importance of strengthening and expanding screening programs.</p><p>Level of evidence: III. Descriptive study of transverse cut.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 2","pages":"Pages 63-71"},"PeriodicalIF":0.0000,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Factores de riesgo de luxación de cadera presentes en neonatos de un hospital infantil\",\"authors\":\"Marco Tulio Mahecha-Toro , Víctor Alejandro Vargas-Martínez , Gabriel Ochoa-Del-Portillo , Jerson Alfonso Hernández-Vargas , Gustavo Andrés Zamora-Vásquez , Claudia Castellanos-Peñaranda\",\"doi\":\"10.1016/j.rccot.2022.04.012\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Developmental Dysplasia of the Hip (DDH) has significant repercussions on health if it is not diagnosed and treated in a timely manner. The purpose of this research is to describe the risk factors and prevalence for DDH in children born between 01/01/2016 and 12/31/2019 in a Children's Hospital in Bogotá, Colombia.</p></div><div><h3>Materials and methods</h3><p>Descriptive cross-sectional study. The Developmental Hip Dislocation (DHD) was clinically evaluated through Ortolani, Barlow and Galeazzi's signs, exploring the possible association with family history in the first and second degree of consanguinity. 2<!--> <!-->×<!--> <!-->2 contingency tables were created and the <em>X</em><sup>2</sup> test or Fisher's exact test was applied, considering a statistical significance of (<em>p</em> <!--><<!--> <!-->0.05). The information was taken from the DHD screening program database. The descriptive analysis was performed with Stata15 and SPSS20.</p></div><div><h3>Results</h3><p>3193 neonates meet the inclusion criteria. 49.5% are female. 7.1% had a family history of DHD in the first degree of consanguinity, 5% in the second degree of consanguinity, and 9.1% had a breech presentation. Clinical evaluation for the detection of DHD was positive in 0.41% (<em>n</em> <!-->=<!--> <!-->13). A prevalence of 2.2× every 1000 live births was documented.</p></div><div><h3>Conclusions</h3><p>No association between sex and history of first degree of consanguinity was documented, but and an association with second degree history was founded. The estimated prevalence in a single hospital highlights the importance of strengthening and expanding screening programs.</p><p>Level of evidence: III. Descriptive study of transverse cut.</p></div>\",\"PeriodicalId\":101098,\"journal\":{\"name\":\"Revista Colombiana de Ortopedia y Traumatología\",\"volume\":\"36 2\",\"pages\":\"Pages 63-71\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Colombiana de Ortopedia y Traumatología\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0120884522000244\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Colombiana de Ortopedia y Traumatología","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0120884522000244","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Factores de riesgo de luxación de cadera presentes en neonatos de un hospital infantil
Introduction
Developmental Dysplasia of the Hip (DDH) has significant repercussions on health if it is not diagnosed and treated in a timely manner. The purpose of this research is to describe the risk factors and prevalence for DDH in children born between 01/01/2016 and 12/31/2019 in a Children's Hospital in Bogotá, Colombia.
Materials and methods
Descriptive cross-sectional study. The Developmental Hip Dislocation (DHD) was clinically evaluated through Ortolani, Barlow and Galeazzi's signs, exploring the possible association with family history in the first and second degree of consanguinity. 2 × 2 contingency tables were created and the X2 test or Fisher's exact test was applied, considering a statistical significance of (p < 0.05). The information was taken from the DHD screening program database. The descriptive analysis was performed with Stata15 and SPSS20.
Results
3193 neonates meet the inclusion criteria. 49.5% are female. 7.1% had a family history of DHD in the first degree of consanguinity, 5% in the second degree of consanguinity, and 9.1% had a breech presentation. Clinical evaluation for the detection of DHD was positive in 0.41% (n = 13). A prevalence of 2.2× every 1000 live births was documented.
Conclusions
No association between sex and history of first degree of consanguinity was documented, but and an association with second degree history was founded. The estimated prevalence in a single hospital highlights the importance of strengthening and expanding screening programs.
Level of evidence: III. Descriptive study of transverse cut.
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